Individual
ALBERTA SIAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 394-3700
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 394-3700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
160551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107032386
—
OH
Enumeration date
11/28/2017
Last updated
11/28/2017
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